Amy Elizabeth Lykes, RD, CDE

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

953465 Issued in NJ

Practice address

1107 E Palmer St
Philadelphia, PA 19125-4220

Phone

(732) 822-0451

Fax

(609) 581-7726

NPI assigned

Mar 27, 2009

Last updated

Jan 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465
  NPD (past)
• RWJ Hamilton Diabetes & Endocrinology Group PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Hamilton, NJ
  • NPI 1548443237
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1518109289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E PALMER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254220",
            "telephone_number": "732-822-0451",
            "fax_number": "609-228-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 E PALMER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254220",
            "telephone_number": "732-822-0451",
            "fax_number": "609-581-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYKES",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NJ",
            "license": "953465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155560",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget Katherine Lydon, CRNP
• Michael J Lydon
• Nicole Lynn Lydon, CRNP
• Charles Jonathan Lyerly, DPM
• Christopher Fisher Lyerly, DPM
• Lisanne Lyle, DMD
• Matthew Phillip Lyle, PHARMD
• Jessica Lyman
• Nicole Lyman, LAPC, MED
• Deborah Marie Lynch-Johnson, PT, CERT MDT

• Metabolic Nutrition Registered Dietitian in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Metabolic Nutrition Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.